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Spinal subdural hematoma from a ventral dural puncture after percutaneous vertebroplasty: illustrative case

Hao-Chien Yang, Heng-Wei Liu, and Chien-Min Lin

Percutaneous vertebroplasty (PVP) is a common and efficient procedure for treating vertebral compression fractures. Although often perceived as a minimally invasive low-risk procedure, postoperative complications caused by cement leakages are not uncommon and can lead to either a mild local leakage mass or serious systemic embolic events. 1–5 Spinal subdural hematoma (sSDH) after PVP is a rare complication. 6–8 Clinically, sSDHs can manifest as various nonspecific spinal symptoms and signs, which makes diagnosis difficult. Because no pathognomonic signs of

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Cervical spinal cord compression from subdural hematoma caused by traumatic nerve root avulsion: illustrative case

Alexander T Yahanda, Michelle R Connor, Rupen Desai, David A Giles, Vivek P Gupta, Wilson Z Ray, and Magalie Cadieux

the cervical spine demonstrated what appeared to be a dorsal epidural hematoma spanning from C3 to C6 causing critical spinal canal stenosis ( Fig. 2 ). He was promptly taken to surgery for evacuation of this hematoma. He underwent C3–5 laminectomies, but no epidural blood was visualized after decompression. Moreover, the thecal sac appeared to be distended, particularly on the right side, with areas of dark coloration seen under the dura. Intraoperative ultrasound was used to visualize a subdural hematoma underlying the decompressed levels. FIG. 2 Cervical

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Critical care for concomitant severe traumatic brain injury and acute spinal cord injury in the polytrauma patient: illustrative case

Hansen Deng, Diego D. Luy, Hussam Abou-Al-Shaar, John K. Yue, Pascal O. Zinn, Ava M. Puccio, and David O. Okonkwo

detected. CT of the head showed extensive bilateral occipital fractures, infratentorial swelling, and right subdural hematoma causing upward transtentorial herniation ( Fig. 1A ). The patient also had supratentorial multicompartmental bleeding with bifrontal subdural hematoma and diffuse traumatic subarachnoid hemorrhage ( Fig. 2 ). CT of the thoracic spine revealed a three-column fracture dislocation of the T9 and T10 levels, T10 burst fracture with retropulsion, and severe spinal stenosis ( Fig. 3A ). Other injuries included left pneumothorax, rib fractures, and

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Paraparesis caused by intradural thoracic spinal granuloma secondary to organizing hematoma: illustrative case

John K. Yue, Young M. Lee, Daniel Quintana, Alexander A. Aabedi, Nishanth Krishnan, Thomas A. Wozny, John P. Andrews, and Michael C. Huang

): 110 – 115 . 10.1016/S0046-8177(98)90218-0 1950896 6 Kreppel D , Antoniadis G , Seeling W . Spinal hematoma: a literature survey with meta-analysis of 613 patients . Neurosurg Rev . 2003 ; 26 ( 1 ): 1 – 49 . 10.1007/s10143-002-0224-y 13323242 7 Calhoun JM , Boop F . Spontaneous spinal subdural hematoma: case report and review of the literature . Neurosurgery . 1991 ; 29 ( 1 ): 133 – 134 . 10.1227/00006123-199107000-00025 8 Bladé J , Gastón F , Montserrat E , Spinal subarachnoid hematoma after lumbar

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Extended tulip cervical reduction screws to restore alignment in traumatic atlantoaxial dislocation after type 3 odontoid fracture: illustrative case

Christopher F. Dibble, Saad Javeed, Justin K. Zhang, Brenton Pennicooke, Wilson Z. Ray, and Camilo Molina

vehicle sustained 4 months prior, when she reportedly walked into traffic while intoxicated. Of note, she had a past medical history of polysubstance abuse, hepatitis C with cirrhosis, type 2 diabetes, and hypertension. At the time, she sustained numerous injuries, including a nondisplaced type III odontoid fracture ( Fig. 1A–C ), which was managed conservatively with a cervical collar, as well as separate three column/chance fractures at T3 and L4–5, which were managed with posterior percutaneous fixation. In addition, she had a small subdural hematoma managed

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Management of a recurrent spinal arachnoid cyst presenting as arachnoiditis in the setting of spontaneous spinal subarachnoid hemorrhage: illustrative case

Omar Hussain, Randall Treffy, Hope M Reecher, Andrew L DeGroot, Peter Palmer, Mohamad Bakhaidar, and Saman Shabani

Spinal subarachnoid hemorrhage (SSAH) can present from a multitude of etiologies. Most cases are posttraumatic or iatrogenic in nature, whereas few are spontaneous due to an underlying vascular malformation or coagulopathy. 1 A potential pathogenic mechanism for SSAH can involve the rupture of vasculature within the subdural or subarachnoid space, potentially after a posttraumatic increase in intraabdominal or thoracic pressure. 2 The remaining etiological category is spontaneous SSAH, for which several case series of spinal subdural hematomas of

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Traumatic cervical spine subarachnoid hemorrhage with hematoma and cord compression presenting as Brown-Séqüard syndrome: illustrative case

Bernardo de Andrada Pereira, Benjamen M. Meyer, Angelica Alvarez Reyes, Jose Manuel Orenday-Barraza, Leonardo B. Brasiliense, and R. John Hurlbert

Yes Discussion Observations Blunt nonpenetrating traumatic hematomas of the spine are a traditionally rare entity. Of all spinal hematomas, epidural is the most common followed by subarachnoid and subdural hematomas. 2 Spinal hematomas are frequently idiopathic, consequent of vascular malformation or tumor with trauma being cited as an etiology in only 2.5% of all cervical hemorrhages. 2 , 4 Hematoma formation in the subarachnoid compartment of the spine is rare and difficult to diagnose typically due to low suspicion when there is a lack of

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Superficial siderosis of the central nervous system with epilepsy originating from traumatic cervical injury: illustrative case

Liqing Xu, Changwei Yuan, Yingjin Wang, Shengli Shen, and Hongzhou Duan

fluid collection 29 Arishima et al., 2018 33 50, M Surgery for subdural hematoma Gait ataxia, motor disturbance of bilat upper limbs 10 Epidural fluid collection from C2 to T12 Xanthochromia, RBCs: NM, ICP: 20 cm H 2 O C7 Suture Improvement of all symptoms (17 mos) Resolution of fluid collection 30 59, M Surgery for subdural hematoma Motor disturbance of rt upper & lower limbs 0.25 Epidural fluid collection from C2 to T2 Xanthochromia, RBCs: NM, ICP: 0 cm H 2 O T1–2, T3–4 Synthetic dura material Improvement of all symptoms (6 mos) Resolution of fluid collection 31